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gEQUIR�D SUBMITTALS <br /> (y � Completed Application Form. <br /> 2;. Describe request in detail. <br /> /T3r1 _� Certified Property Owners List of owners within 35a' of the subject property, labels and ptat <br /> • map. List, labels and map may be obtained from Hennepin County Department of Finance, <br /> Govemment Center, A-603 300 South 6�'Street, Minneapolis, telephone'612-348-5910). <br /> �k Certificate of Survey(signed by a licensed surveyor)- refer to handout for survey information. <br /> � Attach legal description to application if not incfuded on required survey. <br /> �4 Topographic survey (existing and proposed contours) if land alterations involve changes in <br /> � ✓ elevation (grades). <br /> List of the legal names (include marital status) of all persons with an interest in the property. <br /> �This would include name(s)of applicant(s) if not current owner(s). <br /> 8. '� � Construction plan, if applicable(see;staff for requirements). ���o�, 1�.� . <br /> � v As an addendum to this application, please attach`a�separate list of�any ot�er persons you wish <br /> notified of this application. � <br /> YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR <br /> REPRODUCTION (11"X 17"OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require <br /> scaled drawings of all documents, plans, etc. to be submitted') ' � ' �` ' <br /> The Applicant and Property Ovirner must sign this'application. Please remember that your application is not <br /> complete if the above information has not been included. <br /> , ; <br /> -�,-. , . , t;i , . <br /> .1.,},A , . � � . <br /> APPLICANT'S SIGNATURE�;, , � . . . ,, ,.. , .. .:. .-, ,. . <br /> The applicant hereby agrees to provide all information required•or requesteci�by the Zoning Administrator, <br /> agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses <br /> incurred in review of this application, and certifies that the information supplied is true and correct to the best <br /> of his/her knowledge. <br /> A licant's si nature !�G'�-�� `v V . Date r � <br /> . PP 9 V <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto ___._____ _ <br /> the property by City staff, consultants, agents, commission members, and Council members for purposes <br /> of investigation and verification of this request. <br /> �� �-d6-�v <br /> Owner's signature � Date <br /> Applicant must h v all submittals into the City o�ces 25 days before the Planning Commission Meeting. <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be present <br /> at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to <br /> attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place. <br /> and advise the Building &Zoning O�ce of this change prior to the meeting. <br /> � <br /> � RECEIWED <br /> CUP and Other Land Use Applications <br /> Last Updated: May 22,zoos APR 2 0 2Q 1; <br /> 9 CITY OF ORONO <br />